NPI: 1215654553 · BECKLEY, WV 25801 · Certified Registered Nurse Anesthetist · NPI assigned 10/27/2022
| Authorized Official | BOSTIC, LORETTA (MANAGING MEMBER) |
| NPI Enumeration Date | 10/27/2022 |
Other providers sharing the same authorized official: BOSTIC, LORETTA
| Provider | City | State | Total Paid |
|---|---|---|---|
| INDEPENDENT HEALTHCARE PROVIDERS CORP | CHARLESTON | WV | $239K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 316 | $14K |
| 2024 | 88 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 404 | 323 | $19K |